Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 5462 | SD |
NPI | 1003888694 |
---|---|
Provider Name | Amal Veronica Salama |
First Address | Sioux Falls, SD 57118-6370 |
Second Address | Sioux Falls, SD 57105-1064 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/02/2006 |
Last Update Date | 09/10/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
04235 | BLUE CROSS (01) | IA |
0586644 | (05) | IA |
0704072 | MEDICA (01) | SD |
2164898 | ARAZ/ AMERICA'S PPO (01) | SD |
244043 | MIDLANDS CHOICE (01) | SD |
36764 | SANFORD HEALTH PLAN (01) | SD |
46022474316 | (05) | NE |
4995320 | BLUE CROSS (01) | SD |
502468400 | (05) | MN |
5462 | DAKOTACARE (01) | SD |
564R9SA | BLUE CROSS (01) | MN |
564R9SA | CC SYSTEMS/ BLUE PLUS (01) | MN |
57105M006 | WPS TRICARE (01) | SD |
6201320 | (05) | SD |
AH9131041954 | PREFERRED ONE (01) | SD |
HP45300 | HEALTHPARTNERS (01) | SD |
P00315365 | RR MEDICARE (01) | SD |